Noninvasive detection and mapping of intraabdominal adhesions

a review of the current literature

Nellie Bering Zinther, Jens Fedder, Hans Friis-Andersen

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Resumé

BACKGROUND: Adhesions are a well-known and very common complication to surgery. Their extent and severity varies according to type and number of surgeries, use of intraabdominal mesh, and presence of peritonitis. Adhesions cause increased morbidity and mortality, with subsequent socioeconomic consequences. This review aimed to identify existing literature on noninvasive radiologic techniques for identification of intraabdominal adhesions.

METHODS: A structured literature search of medical databases was conducted. English literature published until September 2009 and relevant references were included and assessed.

RESULTS: The search identified transabdominal ultrasonography (TAU) and cine magnetic resonance imaging (cine MRI) as relevant tools matching the search criteria. In all, 12 publications concerning TAU and 4 publications concerning cine MRI were identified. All but one of these publications had the methodologic limitation of not being blinded, which influenced the final sensitivity, specificity, and accuracy.

CONCLUSION: Both TAU and cine MRI seem able to identify intraabdominal adhesions using visceral slide with accuracy of 76% to 92%. Unfortunately, the studies are biased by being nonblinded. Accordingly, a need exists for a systematic well-conducted double-blinded comparative study to validate these radiologic techniques.

OriginalsprogEngelsk
TidsskriftSurgical Endoscopy
Vol/bind24
Udgave nummer11
Sider (fra-til)2681-6
Antal sider6
ISSN0930-2794
DOI
StatusUdgivet - nov. 2010
Udgivet eksterntJa

Fingeraftryk

Cine Magnetic Resonance Imaging
Publications
Ultrasonography
Literature
Databases

Citer dette

Zinther, Nellie Bering ; Fedder, Jens ; Friis-Andersen, Hans. / Noninvasive detection and mapping of intraabdominal adhesions : a review of the current literature. I: Surgical Endoscopy. 2010 ; Bind 24, Nr. 11. s. 2681-6.
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abstract = "BACKGROUND: Adhesions are a well-known and very common complication to surgery. Their extent and severity varies according to type and number of surgeries, use of intraabdominal mesh, and presence of peritonitis. Adhesions cause increased morbidity and mortality, with subsequent socioeconomic consequences. This review aimed to identify existing literature on noninvasive radiologic techniques for identification of intraabdominal adhesions.METHODS: A structured literature search of medical databases was conducted. English literature published until September 2009 and relevant references were included and assessed.RESULTS: The search identified transabdominal ultrasonography (TAU) and cine magnetic resonance imaging (cine MRI) as relevant tools matching the search criteria. In all, 12 publications concerning TAU and 4 publications concerning cine MRI were identified. All but one of these publications had the methodologic limitation of not being blinded, which influenced the final sensitivity, specificity, and accuracy.CONCLUSION: Both TAU and cine MRI seem able to identify intraabdominal adhesions using visceral slide with accuracy of 76{\%} to 92{\%}. Unfortunately, the studies are biased by being nonblinded. Accordingly, a need exists for a systematic well-conducted double-blinded comparative study to validate these radiologic techniques.",
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Noninvasive detection and mapping of intraabdominal adhesions : a review of the current literature. / Zinther, Nellie Bering; Fedder, Jens; Friis-Andersen, Hans.

I: Surgical Endoscopy, Bind 24, Nr. 11, 11.2010, s. 2681-6.

Publikation: Bidrag til tidsskriftReviewForskningpeer review

TY - JOUR

T1 - Noninvasive detection and mapping of intraabdominal adhesions

T2 - a review of the current literature

AU - Zinther, Nellie Bering

AU - Fedder, Jens

AU - Friis-Andersen, Hans

PY - 2010/11

Y1 - 2010/11

N2 - BACKGROUND: Adhesions are a well-known and very common complication to surgery. Their extent and severity varies according to type and number of surgeries, use of intraabdominal mesh, and presence of peritonitis. Adhesions cause increased morbidity and mortality, with subsequent socioeconomic consequences. This review aimed to identify existing literature on noninvasive radiologic techniques for identification of intraabdominal adhesions.METHODS: A structured literature search of medical databases was conducted. English literature published until September 2009 and relevant references were included and assessed.RESULTS: The search identified transabdominal ultrasonography (TAU) and cine magnetic resonance imaging (cine MRI) as relevant tools matching the search criteria. In all, 12 publications concerning TAU and 4 publications concerning cine MRI were identified. All but one of these publications had the methodologic limitation of not being blinded, which influenced the final sensitivity, specificity, and accuracy.CONCLUSION: Both TAU and cine MRI seem able to identify intraabdominal adhesions using visceral slide with accuracy of 76% to 92%. Unfortunately, the studies are biased by being nonblinded. Accordingly, a need exists for a systematic well-conducted double-blinded comparative study to validate these radiologic techniques.

AB - BACKGROUND: Adhesions are a well-known and very common complication to surgery. Their extent and severity varies according to type and number of surgeries, use of intraabdominal mesh, and presence of peritonitis. Adhesions cause increased morbidity and mortality, with subsequent socioeconomic consequences. This review aimed to identify existing literature on noninvasive radiologic techniques for identification of intraabdominal adhesions.METHODS: A structured literature search of medical databases was conducted. English literature published until September 2009 and relevant references were included and assessed.RESULTS: The search identified transabdominal ultrasonography (TAU) and cine magnetic resonance imaging (cine MRI) as relevant tools matching the search criteria. In all, 12 publications concerning TAU and 4 publications concerning cine MRI were identified. All but one of these publications had the methodologic limitation of not being blinded, which influenced the final sensitivity, specificity, and accuracy.CONCLUSION: Both TAU and cine MRI seem able to identify intraabdominal adhesions using visceral slide with accuracy of 76% to 92%. Unfortunately, the studies are biased by being nonblinded. Accordingly, a need exists for a systematic well-conducted double-blinded comparative study to validate these radiologic techniques.

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KW - Humans

KW - Magnetic Resonance Imaging, Cine

KW - Tissue Adhesions

KW - Ultrasonography

KW - Journal Article

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DO - 10.1007/s00464-010-1119-6

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VL - 24

SP - 2681

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JO - Surgical Endoscopy

JF - Surgical Endoscopy

SN - 0930-2794

IS - 11

ER -